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心脏再同步化治疗窄QRS波群心力衰竭1例

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摘要 患者女性,66岁,因反复活动后气急2年,再发3天入院。体检:HR70次/min,BP100/60mmHg。气促貌,颈静脉充盈。心律齐,心尖部收缩期可闻及2/6级粗糙杂音。两肺底可及湿性哕音。双下肢轻度水肿。心电图(图1A)示:窦性心律,P—R间期162ms,QRS时间101ms。超声心动描记术检查(图1B):左心房内径3.6cm,左心室舒张末期内径5.9cm,左心室射血分数33.4%,每搏量38ml,
出处 《心电学杂志》 2008年第1期98-99,共2页 Journal of Electrocardiology(China)
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参考文献6

  • 1Bleeker GB, Schalij MJ, Molhoek SG, et al. Relationship between QRS duration and left ventricular dyssynchrony in patients with end stage heart failure. J Cardiovasc Electrophysiol, 2004, 15 544-549.
  • 2Yu CM, Lin H, Zhang Q, et al. High prevalence of left ventricular systolic and diastolic asynchrony in patients with congestive heart failure and normal QRS duration. Heart, 2003, 89:54-60.
  • 3Bleeker GB, Holman ER, Steendijk P, et al. Cardiac resynchronization therapy in patients with a narrow QRS complex. J Am Coll Cardiol, 2006, 48:2243-2250.
  • 4Alonso C, Leclercq C, Victor F, et al. Electrocardiographic predictive factors of long term clinical improvement with multisite biventricular pacing in advanced heart failure. Am J Cardiol, 1999, 84:1417-21.
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